Endocrinology and Diabetes

Endocrinology and Diabetes

The CEDAR Centre has an inbuilt research unit with beds and laboratory facilities and provides excellent clinical and research facilities. The department has been recognised as offering tertiary hospital specialist endocrinology with extensive clinical experience in pituitary, thyroid, adrenal and neuroendocrine tumours. Pituitary radiotherapy is also performed on site. In addition Professor Russell Jones is Clinical Director of the Wolfson Funded Translational Research Centre which houses state of the art stable isotope labs. Professor Russell Jones work closely with Professor Umpleby (Chair of Human Metabolism, University of Surrey). We are the largest Stable Isotope metabolic research unit in the UK and run home grown single site complex metabolic studies Departmental research scores highly in national ratings. There is ongoing research program and we hope that every trainee would consider taking an MD Higher Degree.

General Medicine: The on call general medical rota is 1:10. There is easy access to CT scanning and an enlarging modern Accident and Emergency Unit and EAU department. Most people find they enjoy the general medicine. Although busy, the patient numbers are manageable with enough junior staff within the admitting team. It is envisaged that General Medicine does not take up a large part of the SpRs time during the week as he or she is encouraged to attend all of the other specialist clinics. Apart from the on take, the general medicine is largely run by the junior doctors and the consultant. As there are two SpR’s both rotate on and off the GIM beds, this allows excellent training opportunities, with not too much general medicine.

Diabetes: There is full on-line blood testing enabling patients to be seen with all of their results whilst they wait (HbA1C, creatinine, lipids, albumin/creatinine ratio). Every other week there is an additional Young Persons’ Clinic with similar backup.

We have the ability to download blood glucose meters onsite, provide 7 day continuous glucose monitoring and have over 100 people using subcutaneous insulin pump therapy.

There are strong community links and these are expanding. Outreach clinics and secondment to primary care mini clinics take place together with some award winning community initiatives including “Shared Care Meetings”

Endocrinology: On alternate weeks there is a dedicated Pituitary Clinic, which is multidisciplinary, involving input from the radiotherapists and neurosurgeons. The hospital has become a regional centre for pituitary disease and has over 100 adult patients who are on growth hormone replacement.

There is an active programme supporting the Pituitary Foundation self-help group.  The Pituitary clinic is supported by a full Investigation Unit Service run by the chemical pathologists so all dynamic function tests can be performed easily and efficiently.

There is a one stop thyroid clinic together with the surgeons that has ultrasound FNA and cytology reporting while the patients wait.

There is a general Endocrine Clinic once a week and a joint renal diabetes clinic. The SpR will take an active role in the Ante-Natal/Diabetes Clinic run jointly. In addition to these clinics, it is envisaged that the SpR will on rotation attend the Andrology Clinic and an Infertility Clinic.  The SpR will attend lipids clinics on rotation.

In addition to these, full paediatric and endocrine training is expected with the SpR attending Dr. Mike Ryalls for paediatric diabetes and for paediatric Growth Clinic.

Click here for an example rota

Educational Activities

  • Sub Specialty Opportunities

There are a number of a dedicated Endocrine/Radiology Meetings.

Formal MDT for thyroid (for the whole of Surrey and North Hampshire) is attended every other week.

Adrenal and neuroendocrine MDT fortnightly.

Pituitary MDT with video link to Hammersmith/ Charing Cross.

 

  • Local Training Days

Speciality training days occur every third Monday in London

 

  • Other Educational Events / Opportunities

There are many educational activities including an extremely well attended Journal Club on a weekly basis for the whole of the Department of Medicine. Regular Mortality and morbidity meetings, an audit day to show case trust audits and service provision initiatives and monthly educational half days

 

  • Research opportunities

The department is run by Professor David Russell-Jones, Dr Vicky Hordern, Dr Roselle Herring and Dr John Wright, who have research interests in metabolism. Professor Umpleby and Martin Whyte at the University of Surrey, have a particular academic interest in diabetes and metabolism.

 

It is also hoped that every registrar will take part in a research project or service provision initiative, which will lead to an abstract or small publication during the their time in the academic department.

 

There is also a monthly research meeting.

 

  • Approach to Supervision and Mentoring

Professor David Russell-Jones, Dr Vicky Hordern, Dr Roselle Herring will supervise and act as mentors during the placement. You will receive regular supervised outpatient experiences and inpatient support

  • Exam Support

Professor David Russell-Jones, Dr Vicky Hordern and Dr Roselle Herring will provide training and clinical exposure to support exam preparation for the speciality exam

 

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